Phong Pham, O.D

NPI 1588790828 · on the registry since 2007 · sole proprietor

Practice

Address: 1571 Periwinkle Way
Sanibel, FL 33957
Phone: (239) 472-4204
Fax: (239) 415-7341
Organisation at this address: Optometrica O D P A
Eye Physicians And Surgeons Of Florida
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 152WC0802X
152WC0802X
Also registered as: 152W00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida